Job Description
The Authorization Coordinator is responsible for confidentially reviewing medical records to ensure proper documentation supports pharmacy prescriptions. This role requires the submission of detailed chart notes and other pertinent documentation to support authorization requests. The coordinator manages the electronic medical records (EMR) work queue for new and resubmitted pharmacy prescription requests to health plans and communicates effectively with clinicians, clinic and finance leadership, clinical team members, patients, and pharmacies.
ResponsibilitiesReview medical records confidentially to confirm proper documentation for pharmacy prescriptions.Submit detailed chart notes and documentation to support authorization requests.Manage the EMR work queue for pharmacy prescriptions related to new and resubmission requests to health plans.Communicate effectively with patients, providers, and insurance companies regarding authorization status.Maintain accurate records of all interactions and documentation related to authorization requests.Confirm active insurance is on file and obtain benefits as required.Ensure proper pharmacy benefit workflow is in place.Follow deferred standard workflow to avoid patient care delays.Collaborate with area Lead and Manager to streamline processes.Coordinate and communicate with clinics, patients, pharmacists, and health plans using smart phrases for consistent messaging.Access EHR to communicate with clinical staff members and/or physicians using referral in-basket messages, pools, or telephone encounters in SBAR format.Manage EHR in-basket(s) and referral work queues according to performance standards.Perform other assigned duties, participate in organizational projects, and adhere to safety, HIPAA, and compliance policies.Provide orientation and training to new staff as assigned.Essential SkillsPrior authorization experienceMedical and retail pharmacy knowledgeData entry proficiencyEPIC system experienceTwo to four years of experience in pharmacy prescriptions requiring pre-authorization in a physician office-based settingAbility to type a minimum of 30 words per minuteHealthcare or related setting experienceMedical terminology knowledgeCustomer service skillsAdministrative skillsAdditional Skills & QualificationsStrong verbal, written, and listening communication skillsExcellent interpersonal and telephone communication skillsLegible handwritingAbility to maintain composure during challenging interactionsBasic math skills for payment collection and cash drawer balancingBasic computer skills including keyboarding, mouse movement, and data entry for practice management system and EHRAbility to effectively organize and prioritize tasksFlexible and cooperative work styleNice to have: Medication authorization knowledgeEPIC and Cover My Meds experienceWork Environment
This position is primarily remote with monthly onsite meetings in Newark, CA. Standard working hours are 7:30 AM to 4:00 PM, Monday through Friday, with optional overtime. The work environment is characterized by constant change.
Pay and Benefits
The pay range for this position is $28.00 - $41.50/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Aug 15, 2025.
\n
\n\nAbout Aston Carter:\n
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.
\n\nThe company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
\nIf you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.
\n\n